Eric Eblin, MSW QMHP
Counselor, Mental Health in Vienna, IL. Individual provider (NPI-1).
NPI number1982255220
StatusActive
Last updated in NPPESSep 27, 2019
Details
- NPI
- 1982255220
- Entity type
- Individual (NPI-1)
- Name
- Eric Eblin
- Credential
- MSW QMHP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2019
- Last updated
- Sep 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
406 E Vine StVienna, IL 62995-1612
Phone 618-658-3079 · Fax 618-658-2759
Mailing address
406 E Vine StVienna, IL 62995-1612
Phone 618-658-3079 · Fax 618-658-2759
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